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Table 3 Details of the Foresight domains [59] and variables and the items that will be used to measure them

From: Healthy together Victoria and childhood obesity—a methodology for measuring changes in childhood obesity in response to a community-based, whole of system cluster randomized control trial

Foresight domain

Foresight variable

Foresight description

Data collection tool

Item

Physical activity environment

Accessibility to opportunities for physical exercise

Physical accessibility (distance, safety) of opportunities for physical exercise

PHS

Perceived environmental amenity

 

Ambient temperature

Average environmental temperature indoors

Not available from surveys.

Ambient temperature

Bureau Of Meteorology (BOM)

http://www.bom.gov.au/products/IDV65079.shtml

 

Cost of physical exercise

Financial cost of physical recreation

Not available from surveys

 

Data available from individual LGAs

 

Dominance of motorised transport

Degree to which motorised transport dominates other ways of transport

PHS

Perceived environmental amenity

Data available from individual LGAs

Combined with

Availability of public transport

 

Dominance of sedentary employment

Degree to which average citizens influence one another’s choices

Data available from individual LGAs

Employment statistics

 

Opportunity for team-based activity

N/A

Not available from surveys

Register of the number of sporting clubs in each LGA

Data available from individual LGAs

 

Opportunity for unmotorised transport

Availability of facilities/infrastructure for unmotorised transport

PHS

Perceived environmental amenity

 

Perceived danger in environment

N/A

Available from the Community Indicators Victoria website by LGA

Perceptions of safety

 

Reliance of labor-saving devices

Reliance on labor-saving devices for daily chores

Not available from surveys

 
 

Safety of unmotorised transport

Level of risk for harm by engaging in non-motorised transport

PHS

Perceived environmental amenity

 

Social depreciation of labor

Degree to which manual labor is negatively valued in a given socio-cultural group

Not available from surveys

Employment demographics

Can be inferred from the local demographics available on the Local Government websites

 

Sociocultural valuation of physical activity

Degree to which physical activity is positively valued in a given socio-cultural group

PHS

Social environment (social norms) for HEPA

 

Walkability of living environment

 

PHS

Perceived environmental amenity

Available from the Community Indicators Victoria website by LGA

School walkability

Individual physical activity

Degree of innate activity in childhood

Degree to which physical activity is part of typical childhood behavior

PHS and WHOCC surveys

Level of physical activity

 

Degree of physical education

Degree to which people have learned to use their body (for labor, leisure and transport)

VPHS

Frequency and amount of vigorous physical activity in past week

PHS

Physical Activity and sedentary

 

Functional fitness

Level of physical fitness to perform daily tasks

VPHS

Self-reported health status

WHOCC

Paediatric Quality of Life Inventory (PedsQL) [40]

 

Learned activity patterns in early childhood

Degree of activity experienced by the foetus, newborn and child in early life through parental physical activity

Not available from surveys

 
 

Level of domestic activity

Level of physical activity exhibited in the domestic arena

VPHS

Physical activity at work

 

Level of occupational activity

Level of physical activity associated to professional duties

VPHS

Physical activity at work

 

Level of recreational activity

Degree to which people engage in physical activity for recreation

VPHS

Frequency and amount of vigorous physical activity in past week

PHS

Physical Activity and sedentary

 

Level of transport activity

Level of physical activity associated to transport

Not available from surveys

 

Available from the Community Indicators Victoria website by LGA for Melbourne metropolitan area only

 

Non-volitional activity (NEAT)

extent to which people engage in non-volitional activity (twitching etc.)

Not available from surveys

 
 

Parental modelling of activity

Degree to which parents act as a role model in physical activity related behavioral patterns

PHS

Parent physical activity

Child physical activity

 

Physical activity

Level of physical activity people engage in

VPHS

Frequency and amount of vigorous physical activity in past week

PHS

Physical Activity and sedentary

Social psychology

Acculturation

Degree to which a (dominant) culture is assimilated

VPHS

Country of birth

Main language spoken at home

Country of birth of mother

Country of birth of father

 

Availability of passive entertainment options

Availability of recreational options that involve only limited physical exercise (tv, computer games)

PHS

Sedentary behavior items

 

Children’s control of diet

Degree to which children exert influence on dietary choices in a family

Not available from surveys

 
 

Conceptualisation of obesity as a disease

Degree to which people consider obesity to be an abnormal deviation from the healthy norm

Not available from surveys

 
 

Education

N/A

VPHS & PHS

Demographics

 

Exposure to food advertising

N/A

Not available from surveys

Level of exposure to food advertising

Available from the literature

 

Importance of ideal body-size image

Degree to which there is a dominant image of an ideal body size in a society

Not available from surveys

 
 

Media availability

Availability of media across formats

Not available from surveys

Data on availability of all types of media

The Victorian Government digital innovation review Part B: The digital readiness of Victorian citizens

 

Media consumption

Degree to which people make use of the media offerings

Not available from surveys

Data on use of all types of media

The Victorian Government digital innovation review Part B: The digital readiness of Victorian citizens

 

Parental control

Level of control exerted by parents on children’s choices

Not available from surveys

 
 

Peer pressure

Degree to which average citizens influence one another’s choices

PHS

Social environment (social norms) for Healthy Eating and Physical Activity

 

Perceived lack of time

By all citizens, particularly those engaged in economic activity

PHS

Instrumental beliefs (facilitators & barriers, decisional balance) for Healthy Eating and Physical Activity

 

Smoking cessation

Number of people quitting smoking

VPHS

Number of people smoking from one survey to the next

 

Social acceptability of fatness

N/A

VPHS & PHS

Height and weight; BMI heterogeneity between LGAs

 

Sociocultural valuation of food

Degree to which food is positively valued within a given socio-cultural group

PHS

Instrumental

 

TV watching

Time spent watching tv

PHS

Sedentary behavior

Individual psychology

Demand for indulgence/compensation

Strength of demand for psychological release after stress or effort

Not available from surveys

 
 

Desire to resolve tension

Desire to resolve psychological conflict between what people desire and what they need to stay healthy

PHS

Affective attitudes (facilitators & barriers, decisional balance) for Healthy Eating and Physical Activity

Combined with

Behavioral intentions (desire to change behavior) for HEPA

And Daily vegetable consumption

Daily fruit consumption

Physical Activity Sedentary behavior

beliefs (facilitators & barriers, decisional balance) for Healthy Eating and Physical Activity

 

Food literacy

Degree to which people are able to assess nutritional quality and provenance

PHS

Health Literacy for Healthy Eating and Physical Activity

 

Individualism

Weakness of social fabric

PHS

Social environment (social norms) for Healthy Eating and Physical Activity

vailable from the Community Indicators Victoria website by LGA

Level of social support

 

Perceived inconsistency of science-based messages

Degree to which there is incompatibility between scientific assessments on food related issues which (are perceived) to be similar

PHS

Health Literacy for Healthy Eating and Physical Activity

 

Psychological ambivalence

Degree to which people experience a psychological conflict between what people desire (e.g., fatty, sweet foods) and the need to stay healthy

PHS

Affective attitudes (facilitators & barriers, decisional balance) for Healthy Eating and Physical Activity

 

Self esteem

Sense of purpose and self-confidence of individuals

PHS

Self-efficacy for Healthy Eating and Physical Activity

 

Stress

Perceived level of stress by individuals

VPHS

Psychological distress (Kessler 10 Psychological Distress Scale)

 

Use of medicines

N/A

VPHS

Diabetes status

Type of diabetes

Age first diagnosed with diabetes

Type of healthcare received in past year

Food consumption

Alcohol consumption

N/A

VPHS

Whether had an alcoholic drink of any kind in previous

12 months

Frequency of having an alcoholic drink of any kind

Amount of standard drinks consumed when drinking

Level of frequency of high-risk drinking

 

Convenience of food offerings

The degree to which food offerings cater to the desire for convenience

PHS

Food accessibility

 

Demand for convenience

Consumer demand for convenient (time/effort saving) food offerings

PHS

Instrumental beliefs (facilitators & barriers, decisional balance) for Healthy Eating and Physical Activity

 

De-skilling

The degree to which individuals are not able anymore to engage independently in routine tasks for daily living (such as cooking)

VPHS

Self-reported health status

Combined with

Number and type of chronic diseases

 

Energy-density of food offerings

Number of calories per unit food weight

VPHS

Calculated from: Daily vegetable consumption

PHS

Daily fruit consumption

Milk consumption

Water consumption

Consumption of sugar-sweetened soft drinks

Daily vegetable consumption

Daily fruit consumption

 

Fibre content of Food & Drink

N/A

VPHS

Daily vegetable consumption

PHS

Daily fruit consumption

Milk consumption

Water consumption

Consumption of sugar-sweetened soft drinks

Daily vegetable consumption

Daily fruit consumption

 

Food abundance

The aggregate amount of food (volume) that is at any moment in time available in UK (AU) society

Not available from surveys

The amount of food available per person in Australia

Australian Institute of Health and Welfare 2012. Australia’s food & nutrition 2012. Cat. no. PHE 163. Canberra: AIHW.

 

Food exposure

The number of food cues individuals are confronted with on a daily basis

Not available from surveys

 

Available from the literature

 

Food variety

The number of different food products (natural and processed) available at any moment in time

Not available from surveys

Categories of the amount of food available per person in Australia

Australian Institute of Health and Welfare 2012. Australia’s food & nutrition 2012. Cat. no. PHE 163. Canberra: AIHW.

 

Force of dietary habits

The degree to which behavioral patterns related to food intake are dictated by routine and habit

PHS

Habit strength for Healthy Eating and Physical Activity

 

Nutritional quality of Food & Drink

N/A

VPHS

Daily vegetable consumption

PHS

Daily fruit consumption

Milk consumption

Water consumption

Consumption of sugar-sweetened soft drinks

Daily vegetable consumption

Daily fruit consumption

 

Palatability of food offerings

N/A

Not available from surveys

 
 

Portion size

 

Not available from surveys

 
 

Rate of eating

Time-span devoted to consuming a meal

Not available from surveys

 
 

Tendency to graze

Tendency to eat outside fixed meal times

Not available from surveys